A nationwide analysis of emergency medicine residents' CT interpretation in trauma: The Tract-EM study

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dc.authoridASLANER, MEHMET ALI/0000-0002-7851-7881
dc.authoridIlhan, Bugra/0000-0002-3255-2964
dc.authoridEfgan, Mehmet Goktug/0000-0002-0794-1239
dc.authoridCoskun Yas, Secdegul/0000-0002-8936-3988
dc.contributor.authorAslaner, Mehmet Ali
dc.contributor.authorKad, Gultekin
dc.contributor.authorKesen, Sevcihan
dc.contributor.authorKilic, Atiye Cenay Karaboerk
dc.contributor.authorCoskun, Ozlem
dc.contributor.authorBildik, Fikret
dc.contributor.authorKele, Ayfer
dc.date.accessioned2025-01-21T16:35:01Z
dc.date.available2025-01-21T16:35:01Z
dc.date.issued2024
dc.departmentKırıkkale Üniversitesi
dc.description.abstractObjective: To evaluate the accuracy and determine the factors influencing trauma CT interpretation proficiency among emergency medicine (EM) residents in Turkey through the TraCT-EM study (Interpretation of Trauma CT by EMergency Physicians). Methods: This nationwide, multicenter, cross-sectional study was conducted in 29 academic emergency departments (EDs) from April 2023 to March 2024. A total of 401 senior EM residents participated in the study, each interpreting a standardized set of 42 trauma CT series (cranial, maxillofacial, and cervical) derived from seven patients. Interpretation accuracy was assessed, and factors predicting interpretation failure were analyzed using univariate and multivariate regression models. Results: The median accuracy rate of residents was 64.9 %, with higher accuracy in normal CT findings. Using the Angoff method, 14 % of residents scored below the passing threshold. Factors associated with interpretation failure included shorter interpretation times (OR, 0.97; 95% CI, 0.95-0.99), lower self-confidence in detecting serious pathologies (OR, 2.50; 95% CI, 1.42-4.42), reliance on in-hospital radiology department reports (OR, 3.45; 95 % CI, 1.47-8.05), and receiving final radiology reports for CT scans (OR, 3.30; 95 % CI, 1.67-6.52), and lack of in-department training programs (OR, 2.51; 95 % CI, 1.34-4.70). Conclusion: The TraCT-EM study highlighted a 65 % accuracy rate for senior EM residents in trauma CT interpretation, with specific predictors of failure identified. These findings suggest a need for tailored radiology education strategies to enhance training and competency in trauma CT interpretation for EM residents. Further optimization of educational programs could address these gaps, ultimately improving patient outcomes in trauma care. (c) 2024 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.
dc.description.sponsorshipThe TraCT-EM study group thanked all EM residents for their partic-ipation. The group also planned the second part of the study, which in-cluded torso and pelvic CT interpretation.
dc.identifier.doi10.1016/j.ajem.2024.08.038
dc.identifier.endpage129
dc.identifier.issn0735-6757
dc.identifier.issn1532-8171
dc.identifier.pmid39255684
dc.identifier.scopus2-s2.0-85203263051
dc.identifier.scopusqualityQ1
dc.identifier.startpage123
dc.identifier.urihttps://doi.org/10.1016/j.ajem.2024.08.038
dc.identifier.urihttps://hdl.handle.net/20.500.12587/24062
dc.identifier.volume85
dc.identifier.wosWOS:001313672800001
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherW B Saunders Co-Elsevier Inc
dc.relation.ispartofAmerican Journal of Emergency Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_20241229
dc.subjectTrauma; Computed tomography; Emergency medicine; Interpretation; Radiology; Education
dc.titleA nationwide analysis of emergency medicine residents' CT interpretation in trauma: The Tract-EM study
dc.typeArticle

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